Individual
DR. ANDREA MICHELLE WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
54 PARKWAY S, MOUNT VERNON, NY 10552-2227
(914) 844-4158
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-2978
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
295118
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659785400
—
NY
Enumeration date
06/19/2014
Last updated
03/11/2019
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